Pedal power: female cyclists at 94.7 Ride Joburg face fewer illnesses but more injuries and finishing challenges

BACKGROUND: Mass participation in amateur cycling events is popular, and ensuring participant safety is crucial. This study aimed to determine the epidemiology of medical encounters (MEs), including injury and illness, at mass-participation amateur cycling events and to explore associated risk factors.METHODS: We conducted a cross-sectional, descriptive, exploratory analysis of operational data collected during the 2015-2016 94.7 Ride Joburg cycling race. Outcomes include frequency (N., %), prevalence (%), incidence (injuries/1000 participants), did-not-finish (DNF, %), and Odds Ratio (OR, 95%CI).RESULTS: In total, 44849 individuals, mean age 40.06±11.68, participated in the 94.7 Ride Joburg cycling race during 2015-2016. We report the prevalence for MEs (5.3%) (injury: 1.7%, illness: 3.6%). The incidence of all MEs was 52.71 (50.61-54.88) (injury: 16.79 [15.61-18.03], illness: 35.92 [34.19-37.72]). Most race participants were male (79.0%), aged 31-50 (58.9%). Older age decreased the odds of injury, illness, or not finishing (P<0.001). Females had higher odds of injury (OR:1.43; 1.21-1.67; P<0.001) and for DNF (OR:1.57; 1.46-1.70; P<0.001) but lower odds of illness (OR:0.73; 0.64-0.64; P<0.001), compared to males. Overall, 7.9% of participants DNF, 6.9% had MEs, 3.2% were injured, and 3.8% were ill. Medical point location and distance were not significantly associated with medical encounters.CONCLUSIONS: Older participants have lower odds of injury and illness encounters. Females have higher odds of injury encounters and not finishing the race but lower odds of illness encounters than males. These findings offer insights into injury and illness at mass-participation amateur cycling events.